<!--[*
// ----------------------------------------------------------------------
// Source file:  $Source: /cvsroot/pn-commerce/pn-commerce/pntemplates/pncommerce_pmdebit_getdata.html,v $
//
// Last changes from:  $Author: landseer $
//
// Revision:           $Revision: 1.9 $
//
// Date of revision    $Date: 2005/03/21 16:16:51 $
//
// ----------------------------------------------------------------------
*]-->

<!--[ include file='pncommerce_user_commonHeader.html' ]-->

<br>
<!--[ pnml name='_PNC_SELECTEDPAYMETHOD' ]-->: <!--[ pnml name='_PNC_DEBORDER' ]-->
<br><br>

<form action='<!--[ pncUserModURL func=MethodForward ]-->' method='post'>
 <!--IMPORTANT!-->
<input type="hidden" name="authid" value="<!--[pnsecgenauthkey module="pncommerce"]-->">

<input type='hidden' name='Method' value='pmdebit'>
<input type='hidden' name='Function' value='getdataresponse'>

<table>
    <tr>
        <td align='right'>
            <!--[ pnml name='_PNC_DEBOWNER' ]-->
        </td>
        <td>
            <input type='text' name='DEBOwner' value='<!--[ $user.PayMethodData.DEBOwner ]-->' size='40'>
        </td>
    </tr>

    <tr>
        <td align='right'>
            <!--[ pnml name='_PNC_DEBNUM' ]-->
        </td>
        <td>
            <input type='text' name='DEBNum' value='<!--[ $user.PayMethodData.DEBNum ]-->' size='40'>
        </td>
    </tr>

    <tr>
        <td align='right'>
            <!--[ pnml name='_PNC_DEBBCN' ]-->
        </td>
        <td>
            <input type='text' name='DEBBCN' value='<!--[ $user.PayMethodData.DEBBCN ]-->' size='40'>
        </td>
    </tr>

    <tr>
        <td colspan=3 align='center'>
            <input type='SUBMIT' value='<!--[ pnml name='_PNC_SUBMIT' ]-->' onSubmit='style='COLOR:FF00FF''>
        </td>
    </tr>
</table>
</form>

<!--[ include file='pncommerce_user_commonFooter.html' ]-->
